Active NPI
David Charles Seaton, PH.D.
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1205959186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3014
- Practice address
- 4545 N 36TH St Ste 115
Phoenix, AZ 85018-3473 - Phone
- (602) 956-2936
- NPI assigned
- Apr 7, 2007
- Last updated
- Nov 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3014 | AZ | Primary |
Addresses
Primary practice location
4545 N 36TH St Ste 115
Phoenix, AZ 85018-3473
Mailing address
4545 N 36TH St Ste 115
Phoenix, AZ 85018-3473
Phone (602) 956-2936
Other practice location 1
4222 E Camelback Rd
ste 230-h
Phoenix, AZ 85018-2745
Phone (602) 852-0911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY-003014 | Other | AZ | AZ STATE BOARD OF PSYCHOLOGIST EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1205959186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 N 36TH ST STE 115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850183473",
"telephone_number": "602-956-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 N 36TH ST STE 115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850183473",
"telephone_number": "602-956-2936"
}
],
"practiceLocations": [
{
"address_1": "4222 E Camelback Rd",
"address_2": "ste 230-h",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850182745",
"country_code": "US",
"telephone_number": "602-852-0911",
"fax_number": "602-852-0632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEATON",
"first_name": "DAVID",
"middle_name": "CHARLES",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE BOARD OF PSYCHOLOGIST EXAMINERS",
"identifier": "PSY-003014",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Frances Michelle Sease, LVN
- Seashell Audiology LLC
- Seasons Hospice & Palliative Care of Arizona, Inc
- Seasons Hospice & Palliative Care of Arizona, LLC (AccentCare Hospice & Palliative Care of Arizona)
- Seasons Medical Group of Arizona, PC (AccentCare Medical Group of Arizona)
- Genita Seaton, COTA
- Jennifer Seaton, RN
- Linda Edith Seaver, MD
- Brantley Allen Seawright, DPT
- Derek Sebade, ANPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.